Haddad, Ibrahim J

Haddad, Ibrahim J is an individual health care provider with primary practice located at 7641 Market St Ste 3 , Boardman OH 44512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Haddad, Ibrahim J can be contacted via phone (330) 729-9140.

Contact Information

Primary practice address
7641 Market St Ste 3 Boardman OH 44512
Phone: (330) 729-9140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X MD045935L Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 35-062494 Ohio
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X A44109 California
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X MD2014-0041 New Mexico
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 35062494H Ohio

Profile Details

NPI number 1366401960
LBN Legal business name Haddad, Ibrahim J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated May 14th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366401960 NPPES
Ohio MEDICAID 0860528
Ohio MEDICAID 01256834

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